Board and Commission Reappointment Request

This form has been modified since it was saved. Please review all fields before submitting.

Date of Request

Date of Request

I currently serve on the following board or commission:*

Architectural Review Board

Arts Commission

Board of Adjustment

Business Development Commission

Crossroads Special Business District

Green Space Advisory Commission

Health & Environmental Services

Historic Preservation Commission

Library Board

Old Orchard Special Business District

Old Webster Special Business District

Parks & Recreation Commission

Personnel Board

Plan Commission

Police Community Engagement Board

Sustainability Commission

Traffic Advisory Commission

Reappointment/Resignation Requests:

I would like to be considered for reappointment. *

Yes

No

OR

I wish to RESIGN my appointment as of the following date:

I wish to RESIGN my appointment as of the following date:

Contact Information

First Name*

Last Name*

Street Address*

City

State

Zip

Email Address*

Primary Phone*

Work Phone

Reappointment Policy

Candidates seeking reappointment to a second term may be reappointed at the discretion of the City Council without public advertisement of the position. Candidates seeking reappointment to a third or greater consecutive term, if not prohibited by board/commission regulations, will be considered along with new applicants after the opening has been publicly advertised. Those seeking a third or greater term will need to interview with the City Council for the position, along with all other candidates.